Individual
MELISSA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1181 MAIN ST, NEWINGTON, CT 06111-3033
(860) 667-1888
Mailing address
1181 MAIN ST, NEWINGTON, CT 06111-3033
(860) 667-1888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0011273
CT
183500000X
Pharmacist
RP444210
PA
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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